This provider's $4.9M in total Medicare payments ranks in the 99th percentile of General Surgery providers nationally.
Medicare payments to this provider grew 244% from 2014 to 2023.
60% of their billing comes from a single procedure code (99233 — Subsequent hospital inpatient care, typically 35 minutes per day).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 88% in 2019
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $414.07 | $197.35 | 2.10x | $216.72 | $248.4K | 2.4K | 661 |
| 2015 | $435.41 | $162.44 | 2.68x | $272.97 | $431.9K | 4.8K | 1.1K |
| 2016 | $501.77 | $178.54 | 2.81x | $323.23 | $581.6K | 6.5K | 1.4K |
| 2017 | $528.12 | $202.26 | 2.61x | $325.86 | $529.6K | 6.1K | 1.2K |
| 2018 | $525.09 | $198.78 | 2.64x | $326.31 | $243.7K | 2.8K | 671 |
| 2019 | $636.90 | $221.44 | 2.88x | $415.46 | $457.7K | 5.2K | 1.0K |
| 2020 | $314.56 | $141.74 | 2.22x | $172.82 | $538.5K | 6.1K | 1.2K |
| 2021 | $523.07 | $169.60 | 3.08x | $353.47 | $470.8K | 5.4K | 1.1K |
| 2022 | $525.00 | $173.41 | 3.03x | $351.59 | $585.7K | 6.9K | 1.3K |
| 2023 | $210.68 | $84.87 | 2.48x | $125.81 | $854.3K | 9.2K | 1.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 33.4K | $3.0M | $89.30 | 2.24x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 16.4K | $1.0M | $61.62 | 2.43x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 4.5K | $749.2K | $165.34 | 1.85x |
| 47563 | Removal of gallbladder with X-ray study of bile ducts using endoscope | 102 | $60.2K | $590.50 | 3.18x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 674 | $52.4K | $77.73 | 2.56x |
| 49651 | Repositioning of recurrent groin hernia using an endoscope | 61 | $28.6K | $469.17 | 2.13x |
| 47562 | Removal of gallbladder using an endoscope | 33 | $18.3K | $554.07 | 4.51x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 119 | $13.3K | $112.08 | 1.79x |
| 49650 | Repair of groin hernia using an endoscope | 33 | $12.6K | $383.23 | 1.99x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 147 | $9.2K | $62.68 | 2.85x |
| 11406 | Removal of growth (4.0 centimeters) of the trunk, arms, or legs | 16 | $3.1K | $194.31 | 2.57x |
This provider submits charges 2.24 times higher than what Medicare actually pays.
A markup ratio of 2.24x means for every $100 Medicare pays, this provider initially charges $224. This is higher than the national average.
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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